NPIMap

Organization Active NPI

Collinsfamilydentistry

  • Dental Clinic/Center
  • Spokane, WA
National Provider Identifier
1710431796
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8105 Issued in WA
Legal business name
COLLINSFAMILYDENTISTRY
Practice address
3151 E 28TH Ave
Spokane, WA 99223-4922
Phone
(509) 532-1111
NPI assigned
Aug 8, 2016
Last updated
Aug 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kenneth J Collins, DDSNPI 1114062593
Title
Dentist/Owner
Phone
(509) 532-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8105 WA Primary

Addresses

Primary practice location

3151 E 28TH Ave
Spokane, WA 99223-4922

Mailing address

3151 E 28TH Ave
Spokane, WA 99223-4922
Phone (509) 532-1111

National Provider Directory

National Provider Directory

Locations

3151 E 28th Ave
Spokane, WA 99223
Phone (509) 532-1111

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1710431796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 E 28TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234922",
            "telephone_number": "509-532-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 E 28TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234922",
            "telephone_number": "509-532-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINSFAMILYDENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "509-532-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "8105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.